PNR201 Med Surg 1 comprehensive |\ |\ |\ |\ |\
exam with answers |\ |\
If a nurse assesses a client with a low heart rate, what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intervention should be done next? |\ |\ |\ |\
Check vital signs including BP |\ |\ |\ |\
The nurse needs to understand how to assess a client with a low
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
potassium level and the need for replacement therapy. |\ |\ |\ |\ |\ |\ |\
Assess- Dysthymia, Heart rate and rhythm
|\ |\ |\ |\ |\
Which symptoms of cellulitis indicate a potentially serious effect
|\ |\ |\ |\ |\ |\ |\ |\ |\
of the infection?
|\ |\
Fever, chills, malaise, foul odor
|\ |\ |\ |\
Know stages of pressure ulcers and best practices for prevention
|\ |\ |\ |\ |\ |\ |\ |\ |\
Stage 1- Intact skin that is reddened, deep pink, or mottled and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
does not blanch. |\ |\
Stage 2- Partial-thickness skin loss involving the dermis and/or
|\ |\ |\ |\ |\ |\ |\ |\ |\
epidermis. Shallow crater can feel hot or warmer than normal.
|\ |\ |\ |\ |\ |\ |\ |\ |\
, Stage 3- Skin is ulcerated. Crater-like ulcer with subcutaneous
|\ |\ |\ |\ |\ |\ |\ |\ |\
tissue involved.
|\ |\
Stage 4- Deep ulceration and necrosis in deeper underlying
|\ |\ |\ |\ |\ |\ |\ |\ |\
muscle and possibly bone. Depth can be determined.
|\ |\ |\ |\ |\ |\ |\ |\
Unstageable- Full-thickness wounds with eschar and/or tissue
|\ |\ |\ |\ |\ |\ |\
that obscures depth determination.
|\ |\ |\ |\
Prevention- Pressure relief (with devices), positioning, padding,
|\ |\ |\ |\ |\ |\ |\
adequate nutrition, skin care (keep dry).
|\ |\ |\ |\ |\ |\
Causes of psoriasis, when would you suspect this condition in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client
Diagnosis is by history, physical examination, and ruling out
|\ |\ |\ |\ |\ |\ |\ |\ |\
other skin conditions.
|\ |\
Signs- inflamed skin lesions covered with adherent silvery-white
|\ |\ |\ |\ |\ |\ |\ |\
scales.
What are the causes and interventions related to Stridor?
|\ |\ |\ |\ |\ |\ |\ |\
Causes- inflammation or partial obstruction of upper airway
|\ |\ |\ |\ |\ |\ |\ |\
passage. In children with croup, adults- obstruction.
|\ |\ |\ |\ |\ |\
exam with answers |\ |\
If a nurse assesses a client with a low heart rate, what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intervention should be done next? |\ |\ |\ |\
Check vital signs including BP |\ |\ |\ |\
The nurse needs to understand how to assess a client with a low
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
potassium level and the need for replacement therapy. |\ |\ |\ |\ |\ |\ |\
Assess- Dysthymia, Heart rate and rhythm
|\ |\ |\ |\ |\
Which symptoms of cellulitis indicate a potentially serious effect
|\ |\ |\ |\ |\ |\ |\ |\ |\
of the infection?
|\ |\
Fever, chills, malaise, foul odor
|\ |\ |\ |\
Know stages of pressure ulcers and best practices for prevention
|\ |\ |\ |\ |\ |\ |\ |\ |\
Stage 1- Intact skin that is reddened, deep pink, or mottled and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
does not blanch. |\ |\
Stage 2- Partial-thickness skin loss involving the dermis and/or
|\ |\ |\ |\ |\ |\ |\ |\ |\
epidermis. Shallow crater can feel hot or warmer than normal.
|\ |\ |\ |\ |\ |\ |\ |\ |\
, Stage 3- Skin is ulcerated. Crater-like ulcer with subcutaneous
|\ |\ |\ |\ |\ |\ |\ |\ |\
tissue involved.
|\ |\
Stage 4- Deep ulceration and necrosis in deeper underlying
|\ |\ |\ |\ |\ |\ |\ |\ |\
muscle and possibly bone. Depth can be determined.
|\ |\ |\ |\ |\ |\ |\ |\
Unstageable- Full-thickness wounds with eschar and/or tissue
|\ |\ |\ |\ |\ |\ |\
that obscures depth determination.
|\ |\ |\ |\
Prevention- Pressure relief (with devices), positioning, padding,
|\ |\ |\ |\ |\ |\ |\
adequate nutrition, skin care (keep dry).
|\ |\ |\ |\ |\ |\
Causes of psoriasis, when would you suspect this condition in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client
Diagnosis is by history, physical examination, and ruling out
|\ |\ |\ |\ |\ |\ |\ |\ |\
other skin conditions.
|\ |\
Signs- inflamed skin lesions covered with adherent silvery-white
|\ |\ |\ |\ |\ |\ |\ |\
scales.
What are the causes and interventions related to Stridor?
|\ |\ |\ |\ |\ |\ |\ |\
Causes- inflammation or partial obstruction of upper airway
|\ |\ |\ |\ |\ |\ |\ |\
passage. In children with croup, adults- obstruction.
|\ |\ |\ |\ |\ |\
